Now that my Peyronie's disease is gone should I continue taking the supplements?

I have had Peyronie's for approximately two years. I had about a 45 degree bend upwards and about a a 15-20 degree bend to the right. I noticed that I had a large scar along the top of the shaft about 2″ and a small nodule about 1/4 inch in diameter on the right side. I obtained your gentle manual penis stretching video and started with the exercises and took PABA, Vitamin E, Nattokinase as you suggested in the instructions PDI provides. I continued with this stretching exercise and the vitamins and enzymes and have now straightened out the shaft. I do not feel any more scar tissue. I was wondering if I am going to have to continue on with the PABA? I will continue to take the other natural vitamins and supplements as I was taking before i developed the Peyronie's, but I did not ever before take PABA so i wonder if I should continue with that. Thanks for your help.

Greetings,

First of all, congratulations on your successful treatment of Peyronie's disease. Many people doubt that they can do what you did. I get this kind of report from people around the world several times a week telling me that they have recovered from their terrible Peyronie's problem by following the simple directions and ideas found on the PDI website. Good for you.

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I doubt you will have to continue with the PABA or continue doing the gentle manual penis stretching technique now that your Peyronie's plaque is gone. Since 2002 I have been consulting with men about Peyronie's disease and in that time we have had some really great results. In all these years I have never had anyone come back to me a year or two or five years later to report that their PD has come back when they stopped taking the PDI Peyronies treatment plan they used to recover from their problem.

However, I would say that half of the men who get over their Peyronie's disease say they will continue with certain parts of it because they believe they get general health benefits from certain products (Neprinol, nattokinase, vitamin E, acetyl-L-carnitine, etc.) I have recovered from my own Peyronie's disease now for about ten years and still take Neprinol, Omega T, and vitamin E because I am convinced of their broad health benefits.

Again congratulations on your great Peyronie's treatment story. TRH

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Should I use Neprinol as part of my Peyronie’s disease treatment?

Dear Dr. Herazy:

I hope this message finds you and yours in good health.

It has been only three months that I “found” the PDI website after being suffering Peyronie’s disease for more than four years. I was diagnosed back in 2008 approximately when I went for pain on erections (reflected mostly on the front of the penis) to the current curvature of approximately 25 degrees upwards bending a bit to the right as well.

Due to the initial treatment in my country (Cuba) I got initially Vitamin E and then even direct injections on the plaque of Interferon and sessions of laser.  None stopped the bending process after pain with erection disappeared.  Then I stopped using Vitamin E, suspended laser and the injections and changed to an urologist that has been working on using natural pills made from bee’s propoleo.  I have been taking these pills for more than two years before going to bed (and at least three hours after my last meal).  This Dr. also used as a method the measurement of the curvature and sporadic ultra-sounds to keep track of the degrees of the curvature.  I must say that in more than two years the curvature seems to keep being of the same degree (not healing but not bending either).  Unfortunately for me and others this Dr. emigrated.  He was substituted by another urologist who seems to have more faith in continuous ultra-sounds to compare the process of growth of the plaque.  I skipped going to consultation like a year ago.  It must be pessimism or lack of faith that I will solve this disease.

I have gone through serious stress in my own marriage and I feel somehow ashamed that I would not be able to find a woman that will cope with this disease in my country if I decide to divorce my wife. I have had all the reasons to divorce my wife but I feel stuck with her. You know, being from a Latino country and culture machismo is a big thing.  I am 52 BTW.

Since I found about PDI I designed my own plan which is currently as follows:
1- I am taking daily at breakfasts:
a- PABA (500 Mg)
b- Acetyl L-Carnitine (500 mg)
c- Glucosamine with MSM (500 mg)

2- I also take daily around 3 PM: MSM (500 mg)

3- I take as well a pill daily 3 hours after dinner of Propoleo

I do not have enough resources but I am ready to pay for whatever even if I have to sell my belongings.  So my question to you is what you would suggest someone in my stage of Peyronie’s disease to buy?  I know I should buy your books (re: “Peyronie’s Disease and Sex and Peyronie’s Disease Handbook) but what else, please?

Should I use Neprinol?  Should I go back to Vitamin E being added to everything I am using already?

Being in the Caribbean (and subject to a US Embargo) the only way I would have to get all I need will be through friends living in the States visiting my country twice a year.  I will have to reveal my disease to one of them so to seek his help.  I am ready to do whatever it takes.

Best regards,

M. C.
Havana, Cuba

 

Greetings M.C.,

So sorry to learn of the difficulty you are having in finding and using a good Peyronie’s disease treatment.  You are to be commended for working so diligently to help yourself.

While I understand why you have been forced to try to duplicate a PDI-type treatment for Peyronie’s disease using substitute products since you cannot get them from PDI in the U.S., this is a great problem.   It is very likely that the quality and subsequent quantity of actual useable nutrients that are available to your body are not sufficient to help your tissue heal and eliminate the Peyronie’s plaque.    Just because the label might say there is 500 mg. of PABA or acetyl-L-carnitine in a product does not mean it is of sufficient quality to help your tissue heal, or that it is even present in the pill.   This is why I insist that men who are serious about eliminating their PD will only use those products that I have had good success with against Peyronies.   Correction of this problem is too important to take a chance that you could be using questionable or poor quality therapy. 

As a general comment concerning what you are currently doing,  a basic problem is that you are only using internal-type therapy items and no external therapies such as DMSO,topical copper and vitamin E, manual stretching or non-penetrating acupuncture treatments.

Another general comment is that you are apparently taking those therapies you currently have available but you have not tested or compared during use against the size, shape, density or surface features of the PD scars to determine the correct dosage.   In other words, you are swallowing a lot of pills hoping something good will happen to you.  But that is not how the PDI process works.   I want you to know the exactly correct dosage to make the best progress possible.

Yes, both books are a wealth of practical information; they will help you toward your recovery.  

Neprinol is a great Peyronie’s therapy, but by itself I have not seen it be very effective; it must be combined with other therapies for maximum benefits to occur.  Please refer to the PDI website for more information about this aspect of treatment.In addition, when you order Neprinol from PDI you will be given specific information about how to use it for maximum recovery benefit.  See Peyronie’s disease treatment with Neprinol.

Using vitamin E requires that it is the right kind of vitamin E and it is of excellent quality.   I cannot advise about using what you currently have been taking because I have no idea if it will be good enough to help you; it could be a waste of your time, effort and money.

Lastly, you are not the only person who we help receive PDI therapy products from visiting relatives.  Please send me an email to alert me when you are ready to place your order and I will see to it that we get this done as economically and effectively as possible for you.  Please keep me informed and I will do all I can to help you.  TRH     

 

What evidence do you have that this Peyronie’s treatment concept is effective?

If as you say 50% of men self heal from peyronies disease, what empirical evidence do you have that any of your treatments are actually effective? Testimonials of cures are to be expected in any group of men whether they take your medication or a placebo. What evidence do you have that your medication is better than a placebo?

 

Greetings,

Thank you for your valuable and interesting question.

Empirical evidence is taken from or by way of naturalistic experience or observation, as well direct experimental procedures.  It serves to defy or support a scientific theory or a working hypothesis that is under study.

For those who have spent any time reading the PDI website, you know that I have repeatedly reported that at this time it is not possible for me to conduct research or scientific investigation as is conducted by the government, large universities, medical research hospitals or pharmaceutical companies. I do the best I can under the circumstances I work under.  I am limited to the reports and communication about success and failure I receive from men who choose to follow the PDI concept of Peyronie's treatment.  This information is provided to me on a volunteer basis by men during their self-directed treatment, so it is understood that I do not have any way to control how each plan is conducted or to verify the accuracy of the information that is received.  

When early medical research was done with natural therapies like vitamin E, or acetyl-L-carnitine, or PABA, or quercetin, on Peyronie's disease the effects were often positive.   You can read these early reports in which all of these were found to have positive effects to reduce the Peyronies plaque or reduce advancement of penile distortion.  They all seem to end with the comment that would go something like, "Further investigation should be done based on these positive outcomes to verify these results."   Of course, since there is no profit or advantage in a drug company testing a common nutrient, no further testing is ever done.  No one is interested in the results of combining natural enzymes, vitamins, minerals, and performing gentle manual stretching because these ideas represent no business opportunity.

From the information I have gathered over the last 10 years while working with men who have Peyronies, I estimate that about half of these men have had their Peyronie's disease for 18 months or less, and the other half have had their Peyronie's disease for more than 18 months (many start their PDI-based treatment with a history of Peyronie's disease of five years duration, and a few have had their problem for 10 years or more).   Based on my feedback from these men, there does not seem to be much difference in the rate or degree of improvement between these two groups, or in the types of problems or difficulties they encounter while under care.   It seems that the body is able to heal or correct a newer (18 months or less) case of PD about as easily as an older (18 months or more) case of PD.   This 18-month time reference point is important because it is rather commonly maintained that any case of PD that will spontaneously heal or self-correct will do so before the 18th month; after 18 months the PD is considered permanent.  This is the reason so many surgeons will wait until a case of Peyronie's disease has reached the 18 month mark, since at this time the condition is thought to be stable and permanent.  

When I worked to develop the treatment plan that eventually became the PDI concept of Peyronies treatment I had my PD for about 18 months.  Many men who report back to me their positive results have had their problem for 2-4-6 years or more.  All of these cases are considered permanent and stable by medical standards.  Any change or reversal of the size, shape, density or surface features of  their PD scar mass or change in their deformed or curved penis would have to be considered clinically significant.  

At this time I am not interested in conducting blind studies with placebos with men who have Peyronies.   After 10 years of work I am at a point where I still improving and expanding the PDI treatment protocol.  It would be wrong for me to conduct research in this way that would deny every man the opportunity to reverse his problem.  Keep in mind that I am not attempting to make pigs fly; the PDI concept is really not all that extraordinary or extreme.  All we are attempting to do is to increase or support the natural ability of the body to heal and repair PD that tends to occur in about 50% of the men who develop this condition.  For many men who take the time to read the information on this website the idea of natural healing makes sense.   I suppose it all comes down to the question of, "Do you think it is possible to help the body heal if you improve your nutrition and do a few common sense things that assist the process of recovery like tissue detoxification, simple stretching and increase of blood flow?"  

You are viewing this work while it is its early stages, as the men are told when they read the PDI website.   Testimonials and personal communication is what many medical ideas have developed from in the past.  You are seeing this idea at that stage of development.  I do not know if that should be a reason for condemnation of this work.  Many men who need treatment for Peyronies disease understand the basic concept of supporting the ability to heal and repair and give the process a try.  Many who do it well find good results.

I completely understand your concern and interest in evidence of treatment efficacy, and comparison to placebo response.   However, keep in mind that all the glowing praise and approval for a drug that passes through government, university, medical research hospital, or pharmaceutical company research is no guarantee of effectiveness or safety of those same drugs or procedures.  So much of the kind of proof that you ask about seems to make very little difference to the people who use those approved drugs in the real world.  So many of the drugs that pass through rigorous research tests, and perform so much better than placebos, only come to fail to get results with actual patients or are found to be dangerous because of the side-effects and dangerous complications they cause. 

Again, thank you for the opportunity to explore and discuss this question.  Perhaps in time this idea will be taken up by a large research group when I have gathered more evidence and weight of public opinion.   TRH

Not sure what to do next for Peyronie’s treatment

I have Peyronie’s disease for over 3 years.  Lately, the curvature is 45 degree and bending rapidly. It’s preventing me from concentrating and keeping a firm erection. This condition is starting to affect emotionally.  I avoid having sex.  I’m 52 years old and married for 25 years.

I had taken Potaba pills and did not work. For the past two weeks I have been taken Vitamin E. Not sure what to do next.

Looking forward to hear from you.

Your help is greatly appreciated.    Thank you.

E. Garcia

 

Greetings E. Garcia,

vitamin E by itself is not very effective as a Peyronie’s disease treatment, but then again there is nothing that when taken by itself will be effective.   To get truly good results with your vitamin E you must combine it with other therapy products to support and increase your body’s ability to remove the PD plaque material.

POTABA is not a well tolerated drug and it is not especially effective against Peyronies.  POTABA is a modification of PABA, a member of the B vitamin family, that is made into a drug by adding a potassium molecule onto the vitamin.   This was originally done because PABA received good research results as a Peyronies treatment, but the drug industry would prefer to sell drugs and not low-price and ow-profit vitamins.    So they created the drug POTABA that irritates the dickens out of the digestive track so much that few men can take the drug very long, and it does not work as well as PABA anyway.   For this reason we continue to suggest the use of PABA in Peyronie’s treatment plans.   

Please go to the PDI website and click on the link Start Peyronie’s treatment.    This is a good starting point to begin to put a plan of action together for your recovery.  Keep in mind that an important element of a good treatment strategy is to do a variety of Peyronies disease exercises along with using vitamins, minerals, enzymes and herbs to support your natural recovery.

 

Please let me know if you have any specific questions.   TRH 

Are male enhancement pills effective in helping Peyronie’s diease?

I am using vitamin C, E, Scar-X, PABA, Fundamental Sulfur, Fibrozym, Nattokinase, Stimulin and Male Booster-X.  I have an hourglass curve at the base of my penis together with an upward bend. I am seeing some slight reduction in the deformity. My penis remains about an inch shorter than it was originally, Is there anything else I can do to regain the length. I tried the stretching exercises from your video with no result.  Are male enhancement pills effective?

 

Greetings,

There are many things to say about your email and how you are approaching your problem:

1. Listing your therapy products by name without telling me how many you are taking of each, and when you are taking them, is not helpful.  I need details of how you are using the therapy products you are taking.   I also need to know how long you have been using this plan.

2.  Stimulin and Male-X Booster are not intended to help Peyronie's disease.  I think you got the idea that sexual stimulant supplements can be used this way because many MDs prescribe Viagra for PD.  Viagra can be harmful to PD and even cause it; the sexual stimulants we suggest you use are mild enough that they will not harm you.   However, these two products will only increase sexual response (which is a good thing if you are having problems that way), but they do not help reduce the PD scar. 

3.  I am happy for you that you are seeing reduction of your deformity – congratulations.  But, that is not the way to go about monitoring your progress or determining if your therapy plan is working.  PD is all bout the Peyronie's scar.  Your deformity gets your attention and stresses you, and you want to get rid of your deformity, but it is the PD scar that is causing your deformity.  You must carefully monitor your scar to know how you are doing.  Your treatment plan is NOT determined by your deformity, but by the size, shape, density and surface features of your PD scar.  Please, you need to get "Peyronie's Disease Handbook" to learn how to do this; all of the important information about monitoring your scar is located in chapter 4 of that book. 

4. You have no way of knowing if the stretching exercise video did or did not help because you do not know the size, shape, density and surface qualities of your scar.  You are just guessing at this point if your stretching work was or was not helpful to you.  Besides, there is no way to isolate that one therapy did not help you while you are doing so many others.  All of your therapies work together to make changes in your overall condition.   You say your distortion is better, right?  How do you know the stretching exercises did not contribute to that progress?  Also, you need to tell me if you were able to feel the "deep dull ache" that is mentioned so often in the video while you were doing the penis stretches. 

5. Lastly, all your therapies are internal in nature.  This is a flaw of your plan.  You need to do some external therapies to round out your plan.  If you need help making that decision, let me know.  You cannot assist your recovery with a plan that is unbalanced between internal and external therapies.   

You cannot give me a few lines of vague information and expect me to help you.  Details please.    TRH   

Start with the large Peyronies treatment plan and other therapy later?

Dear Dr Herazy,

I have had PD for about 9 months and I am about to start the full PDI therapy programme, based on the advice you give in your book "Peyronie's Disease Handbook".  I received the PD Treatment Plan-Large, but I now notice that some of the recommended supplements were not included: Acetyl-L-carnitine, PABA, Neprinol, etc.

Can I assume that you recommend getting started with those supplements in the Large Plan and add others later?

Thanks Peter (based in France)

 

Greetings Peter,

The large Peyronies treatment plan does not include all available therapy items that could be used.  There are 12 different forms of therapy contained within the large plan, and as you correctly point out there are several that are not included. There are several reasons the large plan is limited to these particular therapies:

1.  Additional therapies might not be needed beyond what is in the large plan.  Many men do quite well on the large plan just as it is, and do not need to spend more time, energy and money using more therapies than these current 12.

2.  The wide variety of therapies in the existing large plan allow for enough opportunity to experiment with treatment dosage to take several months of active work.  If the large plan provides insufficient, then there are additional therapies to include at a later time for further experimentation.

3.  The large plan is time consuming to use as it is currently designed.  Making it larger would only place an unreasonable burden on men who might not need to spend additional time and effort taking an even larger number of pills. 

4.  The large plan is expensive at the current level.  Expanding the number of therapies would only prevent men from affording the higher cost of entry. 

Stay focused with that large plan; you will be busy.   TRH

What can I expect from POTABA in my Peyronie’s treatment?

I  WANT TO KNOW ABOUT THE PEYRONIE’S TREATMENT I HAVE BEEN PRESCRIBED.  I HAVE JUST SEEN A UROLOGIST WHO DIAGNOSED ME WITH PEYRONIE’S DISEASE. HE HAS PUT ME ON 400IU OF VITAMIN E THREE TIMES A DAY AND 12 GR. OF POTABA PER DAY.   IS THIS A GOOD COURSE OF TREATMENT?  WHAT CAN I EXPECT FOR A SUCCESS RATE?

THANK YOU

BOB

Greetings Bob,

In my opinion you should do a bit of online readying about POTABA. I think you will find a lot of controversy and reports of non-effectiveness about it.  From my experience there are fewer and fewer MDs using POTABA in the last few years because of high cost, limited results, and poor compliance because most men find they cannot tolerate the severe abdominal pain it causes even with the initial usage.  I am surprised your urologist did not mention this to you; I am sure he knows all about it. 

Did you ask the urologist what kind of success rate he has with this prescription?  Did you ask the urologist about what response and reactions you should expect while you are taking POTABA? I would be interested to know his response.

POTABA is one of the limited number of drugs available for prescription by an MD in the treatment of PD, although there are many MDs who do not prescribe POTABA  because they find the trouble their patients encounter while taking it does not justify the limited potential benefit.

Now, POTABA is nothing more than a simple B vitamin – PABA – that has a molecule of potassium added to it, or to say it another way, POTABA is a potassium salt of PABA.

PABA has been shown years ago in medical research to be successful in treatment of PD, but the medical profession likes to use drugs (POTABA) whenever it can, and refuses to use something as simple as a B-vitamin.  POTABA causes a host of gastric symptoms, for which reason few men complete their course of therapy with it.   PABA works just as well, and has no side-effects.  However, neither PABA or POTABA produce results as good as PABA when combined in a more aggressive therapy program as you see presented on the PDI website.

You should know this is a rather limited course of therapy.  No one can predict whether it will help you or not, you must follow if for a while to determine if it will improve the size, shape, density or surface quality of your Peyronie’s plaque.   You would be wise to get the book I wrote, “Peyronie’s Disease Handbook,” about dealing with Peyronie’s disease on a daily basis to improve your chances for recovery.

The Peyronie’s Disease Institute has offered PABA to its visitors since 2002 for treatment of Peyronie’s disease without a single report of inability to use it because of gastric problems.

Change Peyronies Treatment Dosage

How to change Peyronie’s treatment

Starting Peyronies treatment dosage can be easy if you start by taking therapy products at the manufacturer’s suggested rate – perhaps for the first 14-21 days.  If this dosage causes a change in the size, shape, density and surface qualities of your scar(s), then that simple and small dosage is adequate to provide you with the help you need to eliminate your Peyronie’s disease scar formation.  

This is a list of all therapy products available through Peyronie’s Disease Institute and Natural Health Education LLC with the manufacturers’ suggested dosage:

1.   Vitamin E Factor 400/400 (60) – 1 or 2/day – with food
2.  
Maxi-Gamma E (60) – 1/day – with food
3.  
Unique E (180) – 1 or 2/day – with food
4.   
Natural C 1 gram (100) or (250) – 1 or 2/day – with food
5.  
Ascorbplex (90) or (180) – 1 or 2/day – with food
6.   
Fundamental Sulfur (100) – 3/day, taken between meals, or if upset occurs, – with meals
7.   
Acetyl-L-carnitine (60) – 1/day – with food
8.   
PABA (100) – 1 or 2 daily – 1/day – with food
9.   
Quercetin Bromelain ((100) – 1-8/day – between meals
10.
Fibrozym (100) or (200) – 2 tablets, three times a day – between meals
11.
Nattokinase 1500 (120) – 2 tablets, two times a day – between meals
12.
Neprinol (90) or (300) – 1-4 capsules with 8 0z of water – between meals
13.
Scar-X  (1 oz) – 10 drops three time a day – between meals
14.
PMD DMSO Gel (4 oz) – 1-3 times a day, depending on skin tolerance
15.
Super CD Serum (1 oz) – applied to skin before PMD DMSO
16.
Unique-E Vitamin E oil (1 oz) – applied to skin before PMD DMSO
17.
HJG and KBG Honso herbs – 1-3/day
18.
Genesen Pointers – used 15 minutes or longer, daily if desired
19.
Massage and Exercise instructions – performed 2-4 times a week
20.Gentle Manual Penis Stretching Method © instructions – used 15 minutes or longer, daily if desired
21. Prosta-Support (120) – 4/day – with meals
22. color: black;”>Omega T – 1 or 2 daily – with meals

Peyronie’s treatment dosage example
Let us say that you decide you will take PABA at a dose of 2/day. After doing this for a reasonable time – maybe 10-14 days – you do not notice any change in your plaque or scar at the 2/day dose. In this case you probably should consider increasing dosage until your scar responds to your therapy.  The usual method is to simply increase the dosage by one capsule or pill to the total every few weeks until you notice change in the size, shape, density or surface features of the scar.  

The process is made more complicated by the fact that you should be taking multiple therapies, but that is necessary to achieve results.

Peyronies dosage determined by scar response

To know exactly how to modify your dosage it is necessary to compare the size, shape, density and surface features of your scar from the onset of treatment. This critical information enables you to recognize positive changes when they occur. If you do not know how to determine and record the size, shape, density and surface features of your scar you will have to refer to chapter 4 of the “Peyronie’s Disease Handbook” to learn about scar measurement.   

All dosage increase is done slowly and carefully over a period of time to allow the body the opportunity to respond to a favorable change in therapy. If the dosage is changed too rapidly or too often it will not be possible to determine what factor caused a favorable response.  If you develop any unusual symptoms or change in body behavior or appearance while increasing dosage, simply stop taking the product for 48 hours after that problem/symptom disappears. Restart after 48 hours or when the new symptoms clear up, using the next lower dose.  From this point forward, once again begin the process of increasing dosage to promote favorable scar change. After reaching a higher dose at which changes are noted in the scar, remain at that dosage level for a few weeks.  Your correct dose is discovered by accompanying improvement in scar size, shape, density or surface quality.

Discuss your PD therapy plan with your family doctor or urologist so he/she is fully aware of what natural Peyronie’s treatment you are following.  You should consider this discussion about dosage strategy after getting final approval from your doctor. 
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When and how do I make changes to my Peyronie's treatment plan?

Hi again Dr. Herazy,

Just one more question. I am beginning to see changes in my scar, like softening and reduction of the scar. . What I want to know is, when and how do I make changes to my Peyronie's treatment plan?

Jeffery C.

Greetings Jeffery,

Progress or lack of progress with your Peyronie's plaque is what determines when you change your plan and what changes you make to it. As I have said so many time before, “The scar dictates treatment.”

If you are currently making satisfactory changes in your scar, do not change anything. If you are not making satisfactory changes in your scar, you should think about making a positive change to your plan.

Do you have the 1st book I wrote, “Peyronie’s Disease Handbook”? If you do not have it, then you will not know about monitoring your current condition. If you have it, then you can use this information to guide you to increase or decrease your plan as your PD dictates.

For you to know for sure that a recent treatment plan modification is effective you will have to notice some positive change in your scar (softening, fragmentation, smoother edges, etc.) within 10-14 days of the change in your plan, perhaps faster. I would make some logical change (usually an increase of an existing therapy item or a new therapy item if your plan is small) and then wait at least 14 days before looking for a change to occur in the size, shape, density or surface qualities of your scars, before considering another change.

In the beginning of care it might be necessary to only add or increase one therapy if you are at a lower level of therapy (just starting to take the medium plan). In the early stages of therapy modification you will likely keep slowly adding to your plan, one therapy (only PABA or only MSM or only Neprinol only or whatever single item you decide to increase) at a time, by adding 1-2 pills per day. It is not wise to go too quickly from one level to another (like taking Neprinol at 6/day, and then jumping to 14/day; this is too fast and you might not need to take so many for good changes to occur). After a while, when your total number of pills is getting to a point where you might think you simply do not want to take more pills/spend more money, then at that point you might consider this a good strategy: modify your plan by decreasing one therapy slightly as you increase another therapy slightly. This way you are not overwhelming your system with unreasonable loads of pills and you are not spending an extreme amount of money.

Be gradual with your changes. Keeps good notes about your scars. Let me know if this did not answer your question. TRH

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How to Change Peyronie’s Treatment If Not Effective

In 2002 I started working exclusively with men who have Peyronie’s disease. Since that time I have noticed a common pattern with men about 6-8 weeks after the start of their treatment with Alternative Medicine. This pattern occurs no matter the size of the PD treatment plan a man uses, or even with some personalized modification of a standard PDI plan based on personal needs.

It seems that after seeing some initial changes in the size, shape, density or surface quality of their scars at about 6-8 weeks of Peyronie's treatment, improvement and progress will often level off or plateau. It seems that most men assume that all recovery and progress remains on a level and constant course, like putting your foot on the accelerator of a car. When they begin to notice their improvement has slowed down or stopped, they are stumped about what to do next. They will not know what to do with their current plan to improve it or modify it to assure continuation of those early positive changes.

Time and again I have seen this pattern: Start care, make progress, slow down or stoppage of progress. What must be done is some modification of the initial treatment (usually increase of treatment in some way) to again stimulate the healing capability of the tissue. This can be expressed as: Increase care by increasing current therapy or adding new therapy, re-stimulate immune response, make additional progress, monitor for next slow down. What happens after the next slow down or stoppage can be expressed in the same way: Increase care again in a same or different way, re-stimulate immune response, monitor for next slow down, and so on.

This process of exactly how to slowly modify Peyronie’s treatment to increase activity of the immune response against the PD scar is where the day-today challenge is found – and it is not easy.

Peyronie’s treatment plateau of progress

It is common for a man who experiences his first plateau of progress to think only in terms

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of adding more therapies to his treatment lineup to re-energize his recovery. If he has gotten good results from a medium size PD plan, he will assume he must add one or more therapies that are not part of his current plan – like PABA, or the Genesen pointers, or acetyl-L-carnitine, or Unique-E vitamin E oil as an external application or the gentle manual penis stretching technique, etc. However, this is usually not necessary and not the best course of action.

From my experience, to help you get off your plateau and begin progressing again toward additional recovery it is best to work within the same group of therapies that was good enough to create your initial improvement. This is usually accomplished by slowly and carefully increasing the dosage of one of those therapy items a little at a time. If you develop any unusual problem/symptom while increasing your dosage, simply stop taking the product for 48 hours, and restart from the next lower dose. When you reach the highest dose where you had no problem or symptom, stay at that dosage level for a few weeks. After 2-3 weeks without problems, then slowly increase the dosage until you are at the desired level. You will know you are taking the correct effective dose when you begin to see improvement in your scar size, shape, density or surface texture.

Modify slowly and deliberately

If no improvement or change occurs in the features of your scar after being on the increased dosage for about 14 days, then increase the dosage again. Repeat this process until you begin to note improvement in your scar size, shape, density or surface texture.

Only after you have attempted to increase all therapies singly, and have attempted to increase several therapies together as a group, and all have shown to be unsuccessful should you then consider expanding the number of different therapies you use – like adding in PABA, or the Genesen pointers, or acetyl-L-carnitine, or Unique-E oil as an external application or the gentle manual penis stretching technique, etc. to your Peyronie’s treatment plan.

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